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August 1988

Single- vs Double-Lumen Central Venous Catheters in Pediatric Oncology Patients

Author Affiliations

From Texas Children's Hospital and the Department of Pediatrics (Drs Shulman, Smith, and Mahoney, and Mss Rahman, Gardner, and Reed), US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center (Drs Shulman and Smith), Baylor College of Medicine, Houston.

Am J Dis Child. 1988;142(8):893-895. doi:10.1001/archpedi.1988.02150080099034

• Double-lumen central venous catheters (CVCs) have been introduced recently for use in pediatric patients. The objective of our study was to determine if double-lumen CVC usage increased the possibility of infectious and mechanical complications compared with that of traditional single-lumen CVCs in a population at high risk for infection (oncology patients). Thirty pediatric patients (2.5±3.0 years old; mean±SD) who received single-lumen CVCs were compared with 31 patients (5.9±4.7 years old) who received double-lumen CVCs. The incidence of infectious complications was compared while controlling for potential confounding variables. Fifty-seven percent (17/30) of patients in the single-lumen group experienced bacteremia or cellulitis that required removal of six catheters compared with a rate of 52% (16/31) and nine catheter removals In the double-lumen group. Fewer manipulations occurred In the single-lumen group compared with the double-lumen group, but the Incidence of mechanical complications tended to be greater. When managed carefully, double-lumen CVCs were not associated with a greater risk of infection than single-lumen CVCs.

(AJDC 1988;142:893-895)